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Nevada County officials warn federal changes could strain health, human services budgets
Summary
Health and Human Services Director Ryan Groover told the County Board the agency is fiscally strong but faces major risks from federal reconciliation changes (HR1), including Medi‑Cal redeterminations, CalFresh work‑requirements and potential increases in indigent-care caseloads; Deer Creek Behavioral Health Center construction and homelessness reductions were highlighted as priorities.
Ryan Groover, director of Nevada County's Health and Human Services Agency, told the Board of Supervisors that the agency enters FY 2026–27 with stronger reserves and new revenue tools but faces substantial uncertainty from federal reconciliation legislation tracked as "HR1." Groover said the county is roughly 90% state and federal funded and is planning contingencies to limit the fiscal impact if eligibility rules change.
Groover said HR1 actions expected this year include tighter Medi‑Cal eligibility and a shift to six‑month redeterminations in January 2027, changes that could increase the number of uninsured residents. He also flagged added administrative costs for CalFresh that will begin in October and…
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